The hospital's basic daily rate includes 24 hour nursing care, nutrition
services, housekeeping services, and linens. It does not include special
services that your Provider may order such as operating room, anesthesia,
physical therapy, X-ray, medications, laboratory, or other specific diagnostic
and therapeutic services.
The professional service fees of your personal physician and other specialists
and consultants you may see are not included in the daily rate. These
fees are billed to you directly by the physician and are payable by you
or your insurance company.
Our staff will file a claim with your insurance company at the earliest
possible date following your discharge. Follow-up will begin 30 days after
the submission of the claim. We will provide all necessary information
to your insurance company to make a determination for payment. You will
be expected to make full payment of the account balance if insurance fails
to pay timely or denies payment, and of your self-pay portion (co-insurance
and deductible) at time of discharge.
If you do not have insurance, you will be expected to make payment or payment
arrangements through the Business Office prior to registration unless
the treatment is an emergency. Otherwise, your registration may be postponed
in cooperation with your physician.
At Daviess Community Hospital, a financial counselor is on staff to discuss
confidential arrangements with you or a member of your family. We accept
cash, check, or credit card including Mastercard, Visa, Discover, or American
Express. We will assist you in applying for Medicaid and Charity Care.
FINANCIAL ASSISTANCE PROGRAM
We offer a
Financial Assistance program for eligible patients who are unable to pay. An application will be given
to any person who could reasonably be expected to act for the patient
according to HIPAA criteria, has a reasonable basis to believe that the
person may qualify for the uncompensated services, and can provide the
information to establish eligibility.
How to apply for financial assistance:
Obtain Financial Assistance application form from Patient Financial Services,
Cashier, or Registration areas; by calling (812) 254-2760 extension 1013; or
Click Herefor the Financial Assistance Form
Return completed application with proof of income to the address listed
below or in person at the Patient Financial Services, Cashier, or Registration area.
Daviess Community Hospital, PO Box 32, Washington, IN 47501
Assistance in completing the application is available by contacting Patient
Financial Services department (812) 254-2760. Patients will be contacted
by letter with the approval decision after the Financial Assistance application
has been processed.